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Individual

DEREK SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, NCC

Contact information

Practice address
1317 WILMER AVE STE 102, ANNISTON, AL 36201-4600
(256) 237-9200
(256) 237-9205
Mailing address
1317 WILMER AVE STE 102, ANNISTON, AL 36201-4600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2446A
AL

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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